| NPI | 1467063107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2022-02461) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 264410) |
| Enumeration Date | 2020-08-15 |
| Last Update Date | 2024-06-06 |